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*States were ranked in descending order by rate, number of cases,
and alphabetically by state. States with no cases were not ranked.

Total includes cases reported by the District of Columbia
with 116 cases and a rate of 21.1, but excludes outlying areas (Guam with
3 cases and rate of 1.8, Puerto Rico with 150 cases and rate of 3.8, and
Virgin Islands with 1 case and rate of 0.9).